Factit disord imposed on self, with predom psych signs/symp

This code signifies a mental health condition where an individual intentionally produces or feigns psychological symptoms to assume the sick role. The motivation is an unconscious need for attention or care, not for external incentives like financial gain or avoiding work. Patients may present with fabricated or exaggerated psychiatric complaints, often with a dramatic and inconsistent history.

Apply this code when documentation clearly indicates a patient is deliberately creating or exaggerating psychological symptoms without an apparent external incentive. This diagnosis requires a thorough psychiatric evaluation ruling out malingering or other mental health disorders. Supporting documentation should detail the feigned symptoms, the absence of a genuine underlying medical or psychiatric condition, and the patient's motivation to adopt the sick role.

• Differentiate carefully from malingering (Z76.5), where there is an external incentive for feigning illness.
• Ensure the documentation explicitly states "imposed on self" and "predominantly psychological signs and symptoms."
• Code any actual medical or psychiatric conditions that may be co-occurring, but do not code symptoms that are part of the factitious presentation.